KMID : 1151920210030010025
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Chronobiology in Medicine 2021 Volume.3 No. 1 p.25 ~ p.30
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Associations of Self-Consciousness with Insomnia Symptoms
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Kim Min-Su
Lee Eun Park Hye-Yoon Seo Eun-Chong An Suk-Kyoon Park Kyung-Mee
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Abstract
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Objective: Insomnia is a very common health problem that are getting more attention. Self-consciousness is one of the factors related to anxiety or rumination that affect insomnia symptoms. However, the number of studies regarding self-consciousness and insomnia is scarce. The objective of study is to evaluate effects of self-consciousness on insomnia symptoms.
Methods: A total of 90 healthy adults (mean age 28 years, 58% female) were enrolled to the study. Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI) were used to define poor sleepers (PSQI score 8 or higher, or ISI score 8 or higher). Objective sleep parameters were obtained through actigraphy device, and subjective sleep parameters were obtained through sleep diaries concordantly. Self-consciousness scale was used to evaluate three domains of self-consciousness including public self-consciousness, private self-consciousness, and social anxiety. Binary regression analysis and multiple logistic regression analysis were conducted to find correlation between self-consciousness and insomnia symptoms.
Results: Among three self-consciousness domains, only social anxiety showed significant correlation to poor sleepers [odds ratio (OR)=1.091, p=0.046]. Social anxiety was also significantly correlated with both PSQI score 8 or higher (B=0.091, p=0.002) and ISI score 8 or higher (B=0.087, p=0.047). Private self-consciousness was negatively associated with ISI score 8 or higher (B=-0.202, p=0.043).
Conclusion: High social anxiety had a significant correlation to poor sleep. The result of this study implies high self-consciousness with emotional distress could affect insomnia symptoms.
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KEYWORD
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Insomnia, Sleep, Self-consciousness, Social anxiety, Actigraphy, Sleep diary
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